NPI | 1598968158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301095722) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301095722) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2020-06-16 |